Individual
ARELI MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
1466 52ND ST SE, KENTWOOD, MI 49508-4806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005680
MI
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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